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Electronic interface for emergency department management of asthma: A randomized control trial of clinician performance
Authors:Ben Taylor  Michael Dinh  Raymond Kwok  David Dinh  Matthew Chu  Eric Tang
Affiliation:1. Emergency Department, St Thomas Hospital, London, UK;2. and;3. Emergency Department, Royal Prince Alfred Hospital,;4. OsTechnology,;5. Emergency Department, Canterbury Hospital,;6. Clinical School, Concord Hospital, Faculty of Medicine, Sydney University, Sydney, New South Wales, Australia
Abstract:
Objectives: To evaluate the effectiveness of an integrated and dynamic electronic decision support system for management of acute asthma in the ED. Methods: A randomized trial was conducted comparing clinician performance using this electronic interface compared with paper documentation in a simulation scenario. The outcomes were documentation of asthma‐related information and consultation times. Results: Use of this electronic interface was associated with significantly higher rates of documentation in 7 out of 10 variables, including provision of written short‐term asthma management plans. After adjustment for participant seniority, there was no significant difference in consultation times. Conclusion: In a simulation trial, use of this electronic interface was associated with improvements in clinical and discharge documentation. Further studies are required to test this prototype in clinical practice.
Keywords:asthma  electronic interface  emergency department
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